National Provider Identifier
Carol A Conklin, LCSW-R
Carol A Conklin, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 883-7713.
Profile Overview
- NPI
- 1558338608
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- March 07, 2006
- Last Updated
- October 19, 2016
Practice Location
- 610 Ashland Ave
- Buffalo, NY 14222-1309
Phone: (716) 883-7713
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1558338608
- Entity Type
- Individual
- Last Name
- Conklin
- First Name
- Carol
- Middle Name
- A
- Name Prefix
- MS.
- Credential
- LCSW-R
- Mailing Street Address
- 610 Ashland Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14222-1309
- Mailing Country
- US
- Mailing Phone
- (716) 883-7713
- Mailing Fax
- (716) 883-6718
- Practice Street Address
- 610 Ashland Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14222-1309
- Practice Country
- US
- Practice Phone
- (716) 883-7713
- Practice Fax
- (716) 883-6718
- Enumeration Date
- March 07, 2006
- Last Updated
- October 19, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 00020965201 (NY, Univera Provider #), 000526017001 (NY, Bc Bs Buffalo), 161587546 (NY, Tricare Provider #), 000526017002 (NY, Bc Bs National)